WESTWOOD HEALTH AND REHAB, INC
LOCATED: 802 S WEST END STREET, SPRINGDALE, AR 72764
WESTWOOD HEALTH AND REHAB, INC was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:
PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.
FACILITY FAILED TO GIVE OR GET QUALITY LAB SERVICES/TESTS IN A TIMELY MANNER TO MEET THE NEEDS OF RESIDENTS
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on record review and interview, the facility failed to ensure laboratory services were provided timely to assist the physician in making treatment decisions to ensure the necessary care and services were provided for 2 (Residents #2 and #3) of 8 (Residents #1, #2, #3, #4, #5, #6, #8 and #9) case mix residents who had Physician orders [REDACTED]. The findings are:
Resident #2 had [DIAGNOSES REDACTED]. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 3/11/16 documented the resident scored 15 (13-15 indicates cognitively intact) on the Brief Interview for Mental Status (BIMS), and required extensive assistance of two plus people for bed mobility and transfers.
A Physician order [REDACTED].Vitamin D Level Q (every) Yearly (June) every 12 month(s) starting on the 13th for 3 day(s) related to Vitamin D Deficiency, Unspecified
As of 8/3/16 at 9:50 a.m., there was no documentation in the resident’s clinical record of laboratory results for a Vitamin D Level since 12/12/14. At this time, the DON was asked, Can you get me the results of a yearly Vitamin D Level (for Resident #2)? She replied, When we changed to computer system our medical record person put the wrong month in the computer. She stated, Instead of June, it should be December. The DON then handed this surveyor a copy of the Vitamin D Level results for December 2014.
On 8/3/16 at 2:20 p.m., the DON was asked for current Vitamin D level laboratory results for the resident. She stated, We have no idea why the Vitamin D Level was not drawn. Every other lab was drawn but we missed the Vitamin D .I cannot figure out how it happened.
Resident #3 had [DIAGNOSES REDACTED]. The Annual MDS with an ARD of 5/25/16 documented the resident scored 3 (0-7 indicates severely cognitively impaired) on the BIMS, and was totally dependent on the physical assistance of two plus people for transfers and personal hygiene.
A Physician order [REDACTED].Vitamin D Level Q (every) 12 months (June) every 12 month(s) starting on the 17th for 3 day(s) related to Vitamin D Deficiency, Unspecified .
As of 8/3/16 at 11:55 a.m., there was no documentation in the resident’s clinical record of laboratory results for a Vitamin D level since 5/29/14.
Personal Note from NHAA – Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.
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